THE ROLE OF OTORHINOLARYNGOLOGIC DISEASES IN THE ETIOPATHOGENESIS OF INFLAMMATORY PERIODONTAL PATHOLOGY IN ADULTS: INTERDISCIPLINARY ASPECTS

This paper provides a detailed analysis of the combined pathogenic mechanisms linking chronic, focal otorhinolaryngologic pathologies (such as chronic rhinosinusitis, tonsillitis, and various etiologies of impaired nasal breathing) to the initiation and progression of chronic generalized periodontitis in adult patients. Drawing on contemporary clinical data, we examine the aerodynamic, microbiological, and immunologic triggers that drive this mutual aggravation. The findings demonstrate that persistent upper respiratory tract infections in adults induce a stubborn local dysbiosis within the oral cavity and a systemic cytokine imbalance that accelerates alveolar bone resorption. Ultimately, this paper outlines and supports a mandatory interdisciplinary framework for managing these patients through coordinated dental and ENT interventions.